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peeps

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Hello all, I'm new to the site and have only recently been diagnosed with type 2 Diabetes. i am on Metformin tablets and have worked up to four a day now. After some stomach aches and feeling sick i seem to be getting used to them now and dont feel as bad. I have noticed sometimes my sugar levels drop down to about 3.5, is this normal or too low? if its that low should i have something sweet to bring it back up slightly. of course i have cut out all the sweet stuff and trying to reduce my fat intake. Its all been a bit of a shock and the last few weeks a blur. I'm a school caretaker so i'm quite active and on my feet most of the day so i suppose thats good. The hardest part for me is missing snacking in the evenings in front of the tv, i am eating alot of fruit now what else can i snack on that is safe? Peter.
 
Hi. Metformin cannot by itself cause hypos but some people naturally go as low as 3.5 without any meds. I wouldn't worry too much but do keep checking with the meter but you shouldn't see the reading go much lower if any. If the Metformin stomach problems don't completely clear do ask you GP for the Slow Release (SR) version of Metformin. If you have been told by your GP to only reduce the sweet stuff and fats but eat starchy carbs with each meal then that is not good advice I'm afraid. You need to control both sugar and overall carbs to a sensible level and have low-GI ones when you can e.g. multi-grain bread, wholemeal pastries, lentils etc. Don't worry too much about fats as you need some calorie intake when you reduce your carbs. Have unsaturated fats when you can but fats are not the biggest enemy for diabetics but high blood sugar thru carbs is. For snacks you can eat nuts, dark 85% chocolate and so on. Try to train yourself off snacks as far as you can; we've been marketed to by the food companies for years to have high carb snacks so they can make lots of money. Raw carrots are nice.
 
Hi Peeps and welcome to the forum :)

Here is some information which should be useful to you which we give to new members. Ask all the questions you need to and someone will reply. I see you have already had an answer.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find well over 30,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
peeps said:
I have noticed sometimes my sugar levels drop down to about 3.5, is this normal or too low? if its that low should i have something sweet to bring it back up slightly.
This is too low - 3.5 or below is hypoglycaemia. Your brain won't be functioning properly at that level and it would be dangerous to drive. Yes, if this happens again do have something sweet as you suggest. You won't need much - try 2 or 3 winegums or similar and see how your body reacts.
 
Thanks for the advice, i'm sticking to brown bread and rolls now and watching what i eat and drink. I'm slowly losing weight and my levels seem quite stable at the moment. Christmas will be hard though.
 
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